Observation on the Clinical Efficacy of Shenkangling in the Treatment of Renal Ischemia-reperfusion Injury (Kidney Deficiency and Blood Stasis Syndrome)
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Rate of 24-hour urine protein excretion
研究概览
简要总结
To observe the efficacy and safety of Shenkangling, a traditional Chinese medicine decoction, for renal ischemia-reperfusion injury, and to provide evidence-based medical evidence and ideas for clinical therapeutic use.
详细描述
1. Study Design and Methods 1.1 Research Method A multicenter, open-label study design is employed. 1.2 Source of Participants Clinical observation cases are from patients with ischemia-reperfusion injury caused by partial nephrectomy or renal exploration, admitted between March 2025 and December 2026 to the Department of Urology at Zhejiang University School of Medicine Fourth Affiliated Hospital and Fujian University of Traditional Chinese Medicine Affiliated People's Hospital. A total of 100 subjects are included.
1.3 Participant Selection and Exclusion Criteria 1.3.1 Western Medicine Diagnostic Criteria
- Partial nephrectomy due to renal tumor: Based on the "Chinese Expert Consensus on Laparoscopic and Robotic Partial Nephrectomy for Renal Tumors," the general diagnosis of renal tumor should be met, with the maximum tumor diameter ≤ 4 cm, and the indication for partial nephrectomy.
- Partial nephrectomy due to renal cyst: Based on the "Consensus on the Safety of Surgical Treatment for Simple Renal Cysts," the general diagnosis of renal cyst should be met, and partial nephrectomy should be indicated.
- Partial nephrectomy or renal exploration due to renal injury: According to the "Urological Injury Diagnosis and Treatment Guidelines" issued by the Chinese Urological Association, injuries such as renal contusion, partial renal laceration, complete renal laceration, and renal pedicle injury caused by open or closed trauma, which are indications for partial nephrectomy or renal exploration.
- Partial nephrectomy due to renal hamartomas, complex renal cysts, or other conditions: Based on the "2022 Edition of the China Urological and Andrological Diseases Diagnosis and Treatment Guidelines," the general diagnosis of these diseases should be met, and partial nephrectomy should be indicated.
1.3.2 Traditional Chinese Medicine Diagnostic Criteria
Based on clinical manifestations and the "Guidelines for Clinical Research on New Chinese Medicines" and "General Principles for Clinical Research on New Chinese Medicines" established by the People's Republic of China, and referring to the opinions of various scholars, the criteria are as follows:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Fulfillment of western medical diagnostic criteria requiring renal ischemia-reperfusion surgical operation and renal artery clamping time ≤ 30 min
- •Meets the criteria for Chinese medicine identification
- •18 ≤ age ≤ 65
- •Voluntary participation with signed informed consent
排除标准
- •Patients with stage 4 or 5 renal insufficiency or patients with acute renal failure
- •Those with secondary factors such as systemic lupus erythematosus, drug-induced renal damage, etc. confirmed by examination
- •Does not meet the diagnosis of renal ischemia-reperfusion injury
- •Cases not within the scope of action of the drug
- •Those who have been taking other related therapeutic drugs for a long period of time, e.g., taking Chinese medicines such as Jingui Shenqi Pills by mouth for a long period of time, or those who are unable to stop taking the medicines immediately.
- •Advanced deformity, disability, loss of labor force
- •Combined heart, brain, liver, hematopoietic system, endocrine system and other serious primary diseases and psychiatric patients
- •Pregnant or lactating women
- •Critically ill patients
- •Other circumstances deemed inappropriate for inclusion in the study
研究组 & 干预措施
Shenkangling group
Shenkangling
干预措施: Shenkangling (Drug)
结局指标
主要结局
Rate of 24-hour urine protein excretion
时间窗: From enrollment to the end of treatment at 8 weeks
Levels of renal function
时间窗: From enrollment to the end of treatment at 8 weeks
Biochemical tests for blood creatinine and urea nitrogen
Specific gravity of urine
时间窗: From enrollment to the end of treatment at 8 weeks
Levels of renal fibrosis(CⅣ、PCⅢ、CTGF、TIMP-1)
时间窗: From enrollment to the end of treatment at 8 weeks
Levels of urobilinogen
时间窗: From enrollment to the end of treatment at 8 weeks
Occult blood in urine
时间窗: From enrollment to the end of treatment at 8 weeks
blood viscosity
时间窗: From enrollment to the end of treatment at 8 weeks
By measuring the flow rate of blood in capillaries to evaluate blood viscosity
Levels of electrolytes
时间窗: From enrollment to the end of treatment at 8 weeks
Mainly includes the following indicators: Potassium ion, Sodium ion, Chloride ion, Calcium ions.
White blood cell count of urine
时间窗: From enrollment to the end of treatment at 8 weeks
Red blood cell count of urine
时间窗: From enrollment to the end of treatment at 8 weeks
Levels of urine NAG enzyme
时间窗: From enrollment to the end of treatment at 8 weeks
Levels of urine β2-microglobulin
时间窗: From enrollment to the end of treatment at 8 weeks
次要结局
未报告次要终点
